Percutaneous aspiration and sclerotherapy of a giant simple hepatic cyst causing obstructive jaundice:A case report and review of literature  

作　　者：Xu-Xia He Mei-Xing Sun Ke Lv Jian Cao Sheng-Yu Zhang Jing-Nan Li 

机构地区：[1]Department of Gastroenterology,Peking Union Medical College Hospital,Beijing 10000,China [2]Department of Ultrasound,Peking Union Medical College Hospital,Beijing 10000,China [3]Department of Radiology,Peking Union Medical College Hospital,Beijing 10000,China

出　　处：《World Journal of Gastrointestinal Surgery》2022年第7期706-713,共8页世界胃肠外科杂志（英文版）（电子版）

基　　金：the Peking Union Medical College Education Reform Program,No. 2019zlgc0116;the 13th Five-Year Plan for National Key R&D Program of China,No. 2018YFC1705402;National Natural Science Foundation of China,No. 81770559 and No. 81370500;Medical and Health Technology Innovation Project of the Chinese Academy of Medical Sciences,No. 2020-I2M-2-013

摘　　要：BACKGROUND Giant simple hepatic cysts causing intrahepatic duct dilatation and obstructive jaundice are uncommon.A variety of measures with different clinical efficacies and invasiveness have been developed.Nonsurgical management,such as percutaneous aspiration and sclerotherapy,is often applied.CASE SUMMARY The case is a 39-year-old female with a 5-mo history of cutaneous and scleral icterus,loss of appetite,and dark urine.Lab tests showed jaundice and liver function abnormalities.Imaging revealed a giant simple hepatic cyst obstructing the intrahepatic bile ducts.A combination of percutaneous catheter aspiration and lauromacrogol sclerotherapy was successfully performed and the effects were satisfactory with the size of cyst decreasing from 13.7 cm×13.1 cm to 3.0 cm×3.0 cm.Further literature review presented the challenges of managing giant simple hepatic cysts that cause obstructive jaundice and compared the safety and efficacy of a combination of percutaneous aspiration and lauromacrogol sclerotherapy with other management strategies.CONCLUSION Giant simple hepatic cysts can cause obstructive jaundice,and a combination of percutaneous catheter aspiration and sclerotherapy with lauromacrogol are suggested to treat such cases.

关 键 词：Simple hepatic cyst Obstructive jaundice ASPIRATION SCLEROTHERAPY LAUROMACROGOL Case report 

分 类 号：R575[医药卫生—消化系统]